L3 - Phased and sequenced Therapy Flashcards
(23 cards)
Articular Disc
dense fibrous CT
no nerves or blood vessels, CAN endure heavy forces
Retrodiscal tissue
HAS innervation
Anatomic structures of the TMJ
Articular disc and retrodiscal tissue
Fibers from the WHAT pull the disk down and forward?
Lateral Pterygoid
Disc is tightly attached to the head of the condyle by the?
medial and lateral collateral (discal) ligaments
Major stabilizing muscles of the TMJ?
Masseter (opens)
Medial pterygoid (opens)
Temporalis (opens)
Superior head of the lateral pterygoid (closes)
Lateral pterygoid controls?
Protrusive, side to side and opens the mouth
centric relation
most musculoskeletal stable position of the TMJ
How many (minimum) posterior stops for stability?
4
Curve of Spee
teeth aligned parallel to the arc of closure.
Protrusive disocclusion of posterior teeth
Curve of wilson
facilitates tongue and cheek action for positioning food on the occlusal table
Permits lateral mandibular excursions free from posterior interferences
VDO
superior-inferior relationship of the maxilla and mandible when the teeth are situated in MIP
VDO can be measured based on
subjective signs related to esthetics and phonetics
VDO = VDR - 3mm
true or false?
True
PDL helps control forces placed on teeth
true or false
true
Axial Loading
each tooth should contact in such a manner that the forces of closure are directed through the long axis of the tooth
What teeth are best suited to accept horizontal forces of occlusion?
CUSPIDS….
long, thick roots.
What is canine guidance?
when canines disocclude the posterior teeth in lateral excursions.
If canines are not positioned well or absent, what is the best occlusal scheme?
group function
What is group function?
when several posterior teeth on the working side contact during excursions.FOUR points of contact
No contact on NON-Working side during excursions
No posterior contact during protrusive movements
Most desirable contacts?
Canine plus premolars and the MB cusp of the FIRST MOLAR
Mutually protected occlusion
Posterior teeth should contact slightly more heavily than anterior teeth in centric occlusion
Thick tissue biotype
Low risk
Resistant to recession
Masks color
Scarring risk